BOISE RIVER BIRTH CENTER AND WOMENS HEALTH (NPI# 1972080810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972080810 |
| Entity Type | Organization |
| Organization Name | BOISE RIVER BIRTH CENTER AND WOMENS HEALTH |
| Practice Address |
182 W State St Ste B Eagle ID 83616-4959 |
| Mailing Address |
806 Eagle Hills Way Eagle ID 83616-5212 |
| Practice Telephone | 2086392700 |
| Practice Fax Number | 2086392736 |
| Mailing Telephone | 2086318910 |
| Mailing Fax Number | 2086392736 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | TRACY LYN HAGADORN (C0-OWNER) |
| Authorized Official Telephone | 2086318910 |
| Authorized Official Credential | LM, CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Boise River Birth Center and Womens Health, 182 West State Street, Eagle, ID 83616 | 2086392700 | 2086392736 |
| Street Address |
182 W STATE ST STE B |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-4959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386041028 | Motherwise Midwifery Service, LLC | Clinic/Center | 424 S Jefferson St, Moscow, ID 83843-2937 | 2014-11-24 |
| 1750514881 | Pend Oreille Midwifery Services | Clinic/Center | 723 Pine Street, Sandpoint, ID 83864 | 2009-08-24 |
| 1386297935 | Family Tree Midwifery, Inc. | Clinic/Center | 1844 W Glade Creek St, Meridian, ID 83646-4310 | 2019-07-23 |
| 1811407257 | National Birth Centers Inc | Clinic/Center | 2100 W Panama St, Boise, ID 83705-5120 | 2017-10-11 |
| 1912429234 | Ancient Paths Birth @ Wellness, LLC | Clinic/Center | 2201 N Government Way Ste C, Coeur D Alene, ID 83814-3658 | 2017-07-07 |
| 1861862534 | Mercy In Action Vineyard Inc | Clinic/Center | 3018 W Overland Rd, Boise, ID 83705-3059 | 2015-10-06 |
| 1780014753 | Boise Womens Health & Birth Center | Clinic/Center | 1502 W Franklin St, Boise, ID 83702-4028 | 2013-11-12 |
| 1003243890 | Boise Women's Health & Birth Center | Clinic/Center | 1502 W Franklin St, Boise, ID 83702-4028 | 2013-10-11 |
| 1508105149 | The Uma Center, LLC | Clinic/Center | 414 S Jefferson St, Moscow, ID 83843-2937 | 2013-02-01 |
| 1780977678 | Shalom Prenatal & Birthing Services LLC | Clinic/Center | 5595 Sw Evanna Dr, Mountain Home, ID 83647-6401 | 2011-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BOISE RIVER BIRTH CENTER AND WOMENS HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.